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4WG-18752-51037

2 vaccinations 5 coded responses 5 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
833 / ID
Registered
2021-05-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-28
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-06
    Registered in v-safe
  3. 2021-05-06
    Survey response — day 7, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: I have small bowel cancer which causes probably all my symptoms. I don't think the vaccine has caused any problems.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-12
    Survey response — day 14, dose 1
    MedDRA: Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: I think I feel worse due to my cancer and not from the vaccine. I have back pain, headaches, and extreme fatigue, all of which I had before I got the vaccine. I probably should not have signed up for this.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-19
    Dose 2 — Pfizer-BioNTech
  6. 2021-05-19
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: I'm pretty sure that all my symptoms are from my cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: My symptoms are probably from my cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction, Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Symptoms probably due to cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-28Pfizer-BioNTech
22021-05-19Pfizer-BioNTech

Free text

Release 8 — day 7, dose 1

2021-05-06

Systemic reaction (other): I have small bowel cancer which causes probably all my symptoms. I don't think the vaccine has caused any problems.

Release 8 — day 14, dose 1

2021-05-12

Symptoms: I think I feel worse due to my cancer and not from the vaccine. I have back pain, headaches, and extreme fatigue, all of which I had before I got the vaccine. I probably should not have signed up for this.

Release 8 — day 0, dose 2

2021-05-19

Systemic reaction (other): I'm pretty sure that all my symptoms are from my cancer

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): My symptoms are probably from my cancer

2021-05-22

Systemic reaction (other): Symptoms probably due to cancer

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDPre-existing disease ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release